Intercostal muscle flap in the general thoracic surgery.docVIP

 PAGE \* MERGEFORMAT 6 Intercostal muscle flap in the general thoracic surgery Of: Xiongrong Sheng, Jiang RT, Liu Yong Bo, Deng Sheng [Keywords:] intercostal muscle flap thoracic surgery January 2001 ~ February 2008, we have 25 cases of thoracic surgery in the application of intercostal muscle flap for repair materials, with satisfactory results. These are as follows: 1 Materials and Methods 1.1 General Information The 25 cases, 16 males and 9 females, aged 29 to 68 years. 16 cases of central lung cancer (T3N1M0 8 , T3N2M0 5 , T4N2M0 3 cases), tuberculosis, 2 cases of chronic tuberculous empyema and bronchial fistula in 4 cases, 3 cases of esophageal foreign body perforation of right pneumonectomy in 6 cases, left pneumonectomy in 7 cases, right upper lung in 4 cases of bronchial sleeve resection, pulmonary artery sleeve resection of the end anastomosis in 1 case, fiber stripping, chest muscles intrathoracic metastasis, bronchial fistula repair in 4 cases, 3 cases of esophageal perforation repair. 1.2 surgical operation method Close to the upper edge of the ribs when the chest into the chest, keeping the intercostal muscle in the rib to avoid damage blood vessels. Separation flap began when the start with front-end, close to the rib separation electric knife, electric knife power should not be too big. bite wound back Apart from the lower edge of ribs 3 ~ 4cm, to avoid the intercostal chest tight shut, affecting muscle flap blood supply, the muscle flap with a thin fistula or stump at a fixed, if necessary, the ring surrounding the bronchial or esophageal . full of free muscle flap to avoid tension is too large. after free muscle flap to check for active bleeding, bleeding can be found in electric coagulation or ligation, but to avoid damage to the intercostal vascular trunk. 2 Results 1 case of bronchial sleeve resection of the first 6 days after the patient had lung infection, died of respiratory failure. The remaining patients